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It’s going into an intensive care unit and getting feeding tubes and ventilators and all this stuff that isn’t going to change anything. The third recommendation would be to make it a requirement that you can’t get Medicare without an advanced directive. People think of Medicare as an insurance product.
And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. He, his Twitter feed though is brilliant. Eric: Yeah. Alex: Yeah. Lauren: Shock.
It’s not the tool itself, it’s that doctors are handing out POLSTs to people at they’re welcome to Medicare or annual wellness exams. And whether tube feeding should be on there, that’s never an emergency decision. People who just want to default treatment. Don’t give that person a POLST.
She could no longer feed herself, much less cook, and was dependent on others for everything. Payer Sources: Private HMO insurance plan through Alice’s job Medicare as Alice became eligible for Social Security Disability Insurance and Medicare when she was diagnosed with ALS. As her ALS progressed, she lost the ability to speak.
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